IndividualActive
Charles Bryan
NPI 1689315111 · Clinical Social Worker · Blackfoot, ID
Charles Bryan is a Clinical Social Worker provider in Blackfoot, ID (NPI 1689315111).
Provider details
- NPI number
- 1689315111
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LMSW-27872 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
373 W Highway 39 Ste 1
Blackfoot, ID 83221-5228
Phone: (208) 557-9450
Fax: (208) 561-7111
Street-level locationGet directions
Mailing address
444 Hospital Way Ste 422
Pocatello, ID 83201-2744
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Frequently asked questions
- What is Charles Bryan's NPI number?
- Charles Bryan's National Provider Identifier (NPI) is 1689315111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Bryan's specialty?
- Charles Bryan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Charles Bryan located?
- Charles Bryan's practice location on file with NPPES is 373 W Highway 39 Ste 1, Blackfoot, ID 83221-5228.
- What is Charles Bryan's phone number?
- The practice phone number listed in the NPPES registry for Charles Bryan is (208) 557-9450.
- Is Charles Bryan's NPI active?
- Yes — Charles Bryan's NPI (1689315111) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.